Extracorporeal membrane oxygenation as a bridging therapy for patients with thiamine deficiency-induced pulmonary arterial hypertension

作     者：Fangfang Qiu Weixing Dai Tengyue Huang Min Li Fangfang Qiu;Weixing Dai;Tengyue Huang;Min Li

作者机构：Department of Intensive Care Unitthe Fourth Affiliated Hospital of Zhejiang University School of MedicineYiwu 322000China Department of Intensive Care Unitthe Second Affiliated Hospital of Zhejiang University School of MedicineHangzhou 310009China 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2024年第15卷第2期

页      面：147-149页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

基　　金：General Research Project of Education Bureau of Zhejiang Province(Y202353789)。 

主　　题：vitamin hypertension arterial 

摘      要：Thiamine deficiency is characterized by a deficiency of thiamine(vitamin B1),lactic acidosis,pulmonary arterial hypertension(PAH),right-sided heart failure,and peripheral nerve damage.Thiamine deficiency is easily misdiagnosed and missed during clinical practice and is associated with death in severe cases.[1,2]Here we reported a patient who was admitted to the hospital with severe metabolic acidosis and pulmonary hypertension and finally diagnosed with thiamine deficiency by detecting plasma vitamin B1 levels.Since clinically obvious thiamine deficiency is rare,and cases of thiamine deficiency requiring extracorporeal membrane oxygenation(ECMO)treatment are rarer,we believe that our case will be helpful for emergency clinicians.